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Short Term Acute Care HospitalProprietary

Russellville Hospital

Russellville, AL

15155 Highway 43, Russellville, AL 35653(256) 332-1611

4 of 5

CMS star rating

49

Beds

583

Inpatient discharges a year

$69.4M

Net patient revenue a year

33

In-network payers

About this hospital

Russellville Hospital is a 49-bed proprietary hospital in Russellville, AL. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 329 disclosed rate categories.

  • Medicare-dependent hospital
  • Disproportionate share hospital
CCN
010158
NPI
1316015241
Teaching
No Medicare-funded residents
County
Franklin County
Metro area
Russellville, AL MicroSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1998
Last CMS survey
2014

Prices for common services

The 24 services Russellville Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$11,457 - $16,549

from 3 insurers · median $15,966

Blue Cross$15,966
Insurer A*$11,457
Insurer B*$16,549
Medicare $12,428Nearby hospitals $23,25031% below nearby hospitals

23 Medicare discharges for this DRG in CMS hospital data

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$461 - $3,201

from 4 insurers · median $2,287

UnitedHealthcare$3,201
Insurer A*$461
Insurer B*est.$1,829
Insurer C*$2,744
Medicare $297Nearby hospitals $573299% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$14,565 - $20,468

from 3 insurers · median $19,549

Blue Cross$19,549
Insurer A*$14,565
Insurer B*$20,468
Medicare $16,162Nearby hospitals $25,06822% below nearby hospitals

Hospital reports orthopedic surgery services to CMS

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$1,825 - $3,194

from 3 insurers · median $2,738

UnitedHealthcare$3,194
Insurer A*est.$1,825
Insurer B*$2,738
Medicare $203Nearby hospitals $408571% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Russellville Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*13
902%
130
Insurer B*16
697%
115
Insurer C*23
327%
125
Insurer D*21
122%
015

How we chose these services: 3 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Russellville Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 101 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.28%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 27 services, including trauma care
    • 74 affiliated clinicians
    See doctors and services
  • Finances

    $69.4M net patient revenue

    • Operating margin on patient care -4.9%
    • $2.9M unreimbursed and uncompensated care
    • -$3M net income
    See finances
  • Ownership and leadership

    Owned by The Dava Foundation Inc

    • Private (for profit)
    • Chris Ware, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Russellville Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
47-2378825Russellville Hospital45Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 40 more1316015241 Russellville Hospital Inc.1316084684 Russellville Hospital Inc.1033671631 Russellville Hospital Incand 6 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

15155 Highway 43, Russellville, AL 35653

(256) 332-1611

Get directions

Frequently asked questions

About Russellville Hospital's rates and hospital price transparency.

How much does an MRI cost at Russellville Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Russellville Hospital range from $649 to $4,347 across 4 insurers. Aetna's rate is $3,726. The median at nearby comparable hospitals is $590. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Russellville Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Russellville Hospital range from $461 to $3,201 across 4 insurers. UnitedHealthcare's rate is $3,201. The median at nearby comparable hospitals is $573. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Russellville Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Russellville Hospital range from $1,256 to $1,537 across 3 insurers. Blue Cross Blue Shield's rate is $1,256. The median at nearby comparable hospitals is $1,322. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Russellville Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Russellville Hospital range from $86 to $441 across 4 insurers. UnitedHealthcare's rate is $284. The median at nearby comparable hospitals is $145. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Russellville Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Russellville Hospital range from $11,457 to $16,549 across 3 insurers. Blue Cross Blue Shield's rate is $15,966. The median at nearby comparable hospitals is $23,250. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Russellville Hospital's CMS star rating?

Russellville Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Russellville Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Russellville Hospital for fiscal year 2027.

Does Medicare penalize Russellville Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Russellville Hospital's base inpatient payments by an estimated 1.28% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Russellville Hospital?

In 2024, the most common were simple pneumonia and pleurisy with cc (27 discharges), kidney and urinary tract infections without mcc (18 discharges).

What is Russellville Hospital's case mix index?

Russellville Hospital's Medicare case mix index is 1.18 for fiscal year 2027, higher than 6% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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